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Background: Spiritual care is an essential part and a core component of quality palliative care, as identified by the World Health Organization. However, spiritual care training for hospice palliative care teams (HPCTs) is infrequent.
Objective: The aim of this study was to investigate the effects of a meaning-centered spiritual care training program for HPCTs (McSCTP-HPCT).
Methods: This study used a nonrandomized controlled design. The McSCTP-HPCT comprised 5 modules. The participants were HPCTs working in 15 national hospice institutions and were allocated to either the experimental group (n = 33) or the control group (n = 27) based on the participating institutions' preference. Three outcome variables were tested: spiritual care competency, spiritual care therapeutics, and compassion fatigue. Data were analyzed using descriptive statistics, χ 2 test, 1-way analysis of variance, and repeated-measures analysis of variance.
Results: There was a significant difference in the interaction between measurement time and group assignment in spiritual care competency ( P = .002) and spiritual care therapeutics ( P = .038), whereas no significant difference was found for compassion fatigue ( P = .716).
Conclusion: The McSCTP-HPCT conducted in this study shows effectiveness in increasing the spiritual care competency and spiritual care therapeutics of HPCTs and may support the importance of spiritual care training.
Implications For Practice: The McSCTP-HPCTs adds to the scientific evidence on spiritual care and has the capacity to improve the quality of care for patients with a life-threatening illness.
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http://dx.doi.org/10.1097/NCC.0000000000001131 | DOI Listing |
J Relig Health
September 2025
Public Health Nursing Department, Faculty of Health Sciences, Pamukkale University, Denizli, Turkey.
In this study, it was aimed to determine the effect of religious attachment in nursing students on their spiritual care competence levels. This cross-sectional study was conducted with Turkish nursing students in 2022 (n = 348). The sociodemographic information form, spiritual health scale-short form (SHS-SF), and spiritual care competence scale (SCCS-T) were used for data collection.
View Article and Find Full Text PDFHealth Serv Res
September 2025
Institute for Insight, Robinson College of Business, Georgia State University, Atlanta, Georgia, USA.
Objective: Develop a causal machine learning (causal ML) framework for estimating how a diagnosis (cancer in this study) affects the likelihood of receiving a specific health care service (advance care planning in this study) and associated heterogeneity.
Study Setting And Design: Our proposed framework leverages the causal forest method, combined with a population-weighted resampling and averaging over estimations strategy, to estimate average treatment effects (ATEs) and conditional average treatment effects (CATEs). Post hoc, we used best linear projections to identify covariates associated with variation in the CATEs.
BMC Palliat Care
September 2025
Medical School, Internal Medicine Department, Geriatrics Division, São Paulo State University (UNESP), Av. Prof. Mario Rubens Guimaraes Montenegro, Botucatu, SN, 18618-687, Brazil.
Background/aims: The extent to which low- and middle-income countries have implemented Advance Care Planning (ACP) and Advance Directives (AD) remains unclear. We aimed to map the current status of ACP/AD in Latin America.
Methods: This cross-sectional, mixed-methods survey of ACP/AD in LA comprised interviews with 18 key informants from 18 out of 20 countries, most of whom were appointed by national Palliative Care Associations.
PLoS One
September 2025
Department of Interprofessional Health & Aging Studies, University of Indianapolis, Indianapolis, Indiana, United States of America.
Background: In the United States (U.S.), over 34% of individuals with Chronic kidney disease (CKD) are aged 65 or older.
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